Mcwilliams Manor, Incorporated in Poplar Bluff - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Mcwilliams Manor, Incorporated - NPI 1699808766
Mcwilliams Manor, Incorporated is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Poplar Bluff, Missouri. Mcwilliams Manor, Incorporated practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Mcwilliams Manor, Incorporated is 1699808766. The last update date is 2017-02-17.
Mcwilliams Manor, Incorporated's current location address is 3439 S Westwood Blvd, Poplar Bluff, Missouri. You can contact this provider via phone number 5737279760 and fax number 5737279760. The mailing address for Mcwilliams Manor, Incorporated is 3439 S Westwood Blvd, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mcwilliams Manor, Incorporated |
|---|---|
| Address | 3439 S Westwood Blvd, Poplar Bluff, Missouri |
| Phone Number | 5737279760 |
| Fax Number | 5737279760 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Westover-Mcwilliams L Patricia |
| Credentials | MRN |
| Telephone Number | 5737279760 |
NPI Number Detail
| NPI Number | 1699808766 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2017-02-17 |
Provider Mailing Address Detail
| Address | 3439 S Westwood Blvd |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639018670 |
| Phone Number | 5737279760 |
| Fax Number | 5737279760 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 8001561 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 858524713 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mcwilliams Manor, Incorporated?
The Mcwilliams Manor, Incorporated has been issued the NPI (National Provider Identifier) 1699808766 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Mcwilliams Manor, Incorporated located?
The Mcwilliams Manor, Incorporated is located at 3439 S Westwood Blvd, Poplar Bluff, MO 639018670.
What is the area of specialization for Mcwilliams Manor, Incorporated, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mcwilliams Manor, Incorporated is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.
On what date did the Mcwilliams Manor, Incorporated receive the assignment of its 1699808766 from the Centers for Medicare & Medicaid Services?
The Mcwilliams Manor, Incorporated was issued its 1699808766 by the Centers for Medicare & Medicaid Services on 2007-03-14.
As of what date were the Mcwilliams Manor, Incorporated's details last updated?
The information pertaining to the Mcwilliams Manor, Incorporated, including its address, specialty, and other details, was most recently updated on 2017-02-17.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC